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Two main causes of Afghanistan's staggering levels of corruption are the sheer volume of aid and a lack of oversight.
Afghanistan's natural talent base has been depopulated by decades of conflict and consultants are required, but the sheer volume of aid money being consumed by expatriate firms and consultants is border line amoral.
Paul Risley, a spokesman for the World Food Program, said the volume of aid allowed by the Myanmar junta into the country amounted to one-tenth of what was needed.
Food drops in besieged areas – with a total population estimated at nearly 2 million people – bring very little volume of aid and cannot replace food convoys, a fact acknowledged by the US government spokesperson last week.
For instance, migrant remittances are estimated to be around US dollar 550 billion annually (more than two times the volume of aid) (World Bank 2013), and they contribute significantly to poverty reduction in some countries (Adams and Page 2005).
The ability to spend donor funds on activities related to the MDGs [ 27] and the macroeconomic implications of high volume of aid inflows are the primary absorptive capacity concerns of global health initiatives [ 28, 29].
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To a degree, this is forgivable: in such a poor country it is difficult to build the capacity to manage huge volumes of aid, and channelling more of the cash through the government may mean that more of it gets stolen.
Bolivia attracts one of the highest volumes of aid per capita in South and Central America [ 34].
The large volumes of aid being made available to developing countries has in many instances resulted in bottlenecks in health systems in these regions, which are historically unable to cope with the demands being place upon them by the accelerating spread of HIV and concomitant influx of resources to meet this challenge.
Health sector aid effectiveness is important, given the volume of financial aid and the number of mechanisms through which health assistance is provided.
This was a country sustained by an incredible volume of Soviet aid.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com